HomeMy WebLinkAbout056-410-020 EHWS24-0057 WELL LOGState of California
Well Completion Report
Form DWR 188 Submitted 1/29/2025
WCR2025-000985
Owner's Well Number Date Work Began Date Work Ended 01/20/2025
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWS24-0057 Permit Date 10/07/2024
Well Location
0 Platt Mountain RD Address
Forest Ranch City 95942Zip ButteCounty
39 Latitude 55 51.492
Deg.Min.Sec.
N -121Longitude 38 35.8799
Deg.Min.Sec.
W
Dec. Lat. 39.93097 Dec. Long. -121.6433
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
056-410-020APN
24 NTownship
03 ERange
21Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 3 Top Soil
3 35 Red Clay
35 45 clay cobble
45 65 Brown/ gray soft shale. Water
65 150 Shale with clay cobble lenses water increasing with depth.
Well Owner (must remain confidential pursuant to Water Code 13752)
Cameron Dewell Name
Mailing Address 2165 Algonkin Ave #5
Chico City CAState 95926Zip
Planned Use and Activity
Planned Use
Activity
Water Supply Domestic
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 150
Downhole Hammer
Vertical
150 Total Depth of Completed Well
Drilling Fluid Air
Feet
Feet
Specify
Water Level and Yield of Completed Well
50Depth to first water
Depth to Static
Water Level
25Estimated Yield*
4Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured
Air LiftTest Type
Total Drawdown (feet)
Page 1 of 2 Form DWR 188 rev. 12/19/2017
Other Observations:
Certification Statement
I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief
Name KELLER DRILLING AND PUMP
Person, Firm or Corporation
2767 HEGAN LANE CHICO 95928CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
01/29/2025
Date Signed
1038857
C-57 License Number
DWR Use Only
CSG #State Well Number Site Code Local Well Number
N
Latitude Deg/Min/Sec Longitude Deg/Min/Sec
TRS:
APN:
W
Borehole Specifications
Depth from
Surface
Feet to Feet
Borehole Diameter (inches)
0 30 10.75
30 150 7
Casings
Casing
#
Depth from Surface
Feet to Feet Casing Type Material Casings Specificatons
Wall
Thickness
(inches)
Outside
Diameter
(inches)
Screen
Type
Slot Size
if any
(inches)
Description
1 0 90 Blank Low Carbon
Steel
Grade: ASTM A53 0.188 6.625
1 90 150 Screen Low Carbon
Steel
Grade: ASTM A53 0.25 6.625 Milled
Slots
0.06
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 27 Bentonite Non Hydrated Bentonite Seal 3/8 bentonite chips
27 150 Other Fill See description.No fill casing driven
Page 2 of 2 Form DWR 188 rev. 12/19/2017